| NPI | 1447696604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5363C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802087027) |
| 104100000X Social Worker (Licence: NY 103560) | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2023-05-25 |